Out-of-Pocket Max Programs
United Healthcare memo to labs:
• United Healthcare warns labs against waiving patient fees,
copayments, and deductibles
• “UnitedHealthcare’s benefit contracts exclude coverage for any
out-of-network lab services for which the provider waives the
coinsurance, copayments, or deductibles
• In addition, routine waiver of coinsurance, copayments, or
deductibles may be a violation of the federal False Claims Act,
subject to investigation by the Office of the Inspector General and/or
any applicable state insurance department’s fraud division,” wrote
UHC